Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $16.98 / $27.96	Professional		$14.95	$16.98	$27.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $20.91 / $33.65	Professional		$18.35	$20.91	$33.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $15.69 / $29.31	Facility		$12.00	$15.69	$29.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $24.06 / $37.01	Professional		$12.00	$24.06	$37.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $28.31 / $33.97	Professional		$22.65	$28.31	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.59 / $20.61	Professional		$10.19	$13.59	$20.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $11.33 / $22.23	Professional		$8.83	$11.33	$22.23